Resellers Admin Request NAME OF EMPLOYEE COMPLETING THIS FORM* YOUR EMAIL ADDRESSS* COMPANY NAME / WAPPOINT ACCOUNT NUMBER THAT THIS REQUEST IS FOR* REASON FOR COMPLETION*Please selectFICA UploadFirst deliveryDevice Swap OutChange of Bank DetailsChange of RatesCancellationAdd Point of SaleAdd VASPlease upload a copy of ID/Passport Drop files here or Select files Max. file size: 64 MB. Please upload a proof of address Drop files here or Select files Max. file size: 64 MB. Please upload their company registration document (if applicable) Drop files here or Select files Max. file size: 64 MB. MERCHANT NUMBERIt will be on the merchant slip that prints out of your machine after a transaction is done Please upload the new bank statement Drop files here or Select files Max. file size: 64 MB. Upload a signed letter from the merchant that authorises the use of the bank details provided / a change of bank details Drop files here or Select files Max. file size: 64 MB. NEW DEVICE & TERMINAL IDS OLD DEVICE & TERMINAL IDS REASON FOR SWAP OUT Brief Description of the RequirementsGeographical Location Existing POS Provider Name Specify the number of cashier points / tills required Hardware Required WAPPoint PrintPOS WAPPoint MiniPOS Screen/s Cash Drawer/s Barcode Scanner/s Printer/s Other POS Required POS Lite POS Comprehensive +-R700pm Additional Notes (If Applicable)Upload a signed delivery note Drop files here or Select files Max. file size: 64 MB. Old Rates New Rates REASON FOR CANCELLATIONPlease selectWent to competitorSwitching Devices (eg PP to AP)Business ClosedBusiness SoldUnhappy with ServiceUnhappy with DeviceDoesn't have a need for Card machine anymoreSeasonal TraderExcessive FraudDebtorAbsconded with DeviceOtherPlease allow 24 hours for us to process this request. We will confirm by email once completed.